AMANDA LYNN FANTINO (NPI# 1083256291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083256291 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN FANTINO |
| Other Name | AMANDA LYNN O'DONNELL |
| Practice Address |
8250 Kenwood Crossing Way Ste 225 Cincinnati OH 45236-3670 |
| Mailing Address |
5272 Secretariat Dr Morrow OH 45152-5031 |
| Practice Telephone | 5137217533 |
| Mailing Telephone | 4196181939 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 024671 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8250 KENWOOD CROSSING WAY STE 225 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236624 | Payal Patel | Nurse Practitioner | 737 Regent Rd, Cincinnati, OH 45245-1653 | 2020-05-16 |
| 1437771458 | Kayla Semon | Nurse Practitioner | 1522 Madison Rd Apt 3, Cincinnati, OH 45206-1700 | 2020-05-13 |
| 1104448653 | Brian Patrick Berendts | Nurse Practitioner | 3333 Burnet Ave Ml3014, Psychiatry, Cincinnati, OH 45229-3026 | 2020-05-07 |
| 1487280483 | Bridgette Hull | Nurse Practitioner | 9505 Montgomery Rd Ste 201, Cincinnati, OH 45242-7248 | 2020-03-21 |
| 1194363887 | Shannon Brown | Nurse Practitioner | 3333 Burnet Ave # Mlc1013, Cincinnati, OH 45229-3026 | 2019-12-13 |
| 1528618444 | Subi Healthcare Services LLC | Nurse Practitioner | 4124 Durhams Xing, Cincinnati, OH 45245-1759 | 2019-09-12 |
| 1265084818 | Hannah Dierksheide | Nurse Practitioner | 959b Paradrome St, Cincinnati, OH 45202-1527 | 2019-07-14 |
| 1124681895 | Amanda Elsen | Nurse Practitioner | 2139 Auburn Ave Ste C920b, Cincinnati, OH 45219-2989 | 2019-04-18 |
| 1982166229 | Anne Garvin | Nurse Practitioner | 3110 Vine St, Cincinnati, OH 45219-2068 | 2019-04-04 |
| 1932666138 | Sarah Ellen Diersing | Nurse Practitioner | 6284 Starvue Dr, Cincinnati, OH 45248-2103 | 2019-02-23 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.